Offutt Enlisted Spouses Club Membership Form

Name                                              __    __               Phone#          ______             _____           

Spouses Name                                            _____                                               __                     

Spouses Organization          ____                                            Previous Base       ________            

Address                ___________                                                        _                                         

City            ______                      State                 _                       Zip Code                                 

Email Address                                 ___________                                           _                            

Birthday                                                                            Home State                                        

Children Names and Ages                    ____________                                                                   

                                                                              __________                                   ___         

Hobbies                                      ___________                                                                              

Have You Ever been in a Spouses Club        ____             If so, where     _____                                

Office(s) or Committee Memberships held                         ____________                                                              

Offices or Committees interested in            _____________                                                              

List any volunteer work                         ______                                                                              

List any ideas you may have for our Club                                                                                         

                                                                        __________                                                          

How did you hear about us                      _______________                                                              

AFTER YOU COMPLETE THE FORM, PLEASE MAIL IT TO:

Offutt Enlisted Spouses Club Memberships
P.O. Box 13365
Offutt AFB, NE 68113-3365